CPEN PRACTICE QUESTIONS WITH GUARANTEED ACCURATE ANSWERS
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Course
CPEN
Institution
CPEN
An anxious adolescent presents with palpitations, a heart rate of 184 beats/min, and normal skin tone. Which of the following is the PRIORITY intervention?
A. Obtain urine drug screen.
B. Administer IV adenosine (Adenocard) rapidly.
C. Instruct the patient to bear down.
D. Provide comfort and r...
CPEN PRACTICE QUESTIONS
CPEN PRACTICE QUESTIONS WITH GUARANTEED ACCURATE ANSWERS
An anxious adolescent presents with palpitations, a heart rate of 184
beats/min, and normal skin tone. Which of the following is the
PRIORITY intervention?
A. Obtain urine drug screen.
B. Administer IV adenosine (Adenocard) rapidly.
C. Instruct the patient to bear down.
D. Provide comfort and reassurance. - Accurate Answers✔✔✔ D. SVT
is defined as heart rate >220 in infants and >180 in children. Thus
putting the child in SVT. Search and treat the cause. The PRIORITY
intervention to provide comfort and reassurance could lower heart rate
while preparing other interventions and assessments. Vagal maneuvers
would be the next intervention, followed by adenosine.
,Continuous monitoring of a child's ETCO2 during cardiac arrest reveals
8 mmHg. This indicates that CPR is
A. ineffective and adjustments need to be made to compressions.
B. no longer needed; there is a return of spontaneous circulation.
C. no longer needed; further resuscitation is futile.
D. ineffective and adjustments need to be made to ventilation. - Accurate
Answers✔✔✔ A. The 2010 guidelines recommended that if the partial
pressure of ETCO2 is consistently less than 15 mm Hg efforts should
focus on improving CPR quality, particularly improving chest
compressions and ensuring the child does not receive excessive
ventilations.
A child presents to emergency department with symptoms of
anaphylaxis after eating cookies at a birthday party. The friend's parent is
accompanying the child and is unable to reach the parents. The nurse
recognizes this legal issue as
A. informed consent.
B. implied consent.
C. an EMTALA violation.
D. a HIPPA violation. - Accurate Answers✔✔✔ B. Implied Consent
9-month-old presents to the Emergency Department with a mid-shaft
tibia fracture. Which of the following statements from the parent might
indicate history of non-accidental trauma (NAT).
A. Patient was being changed on top of a table and rolled off.
B. Patient was an unrestrained passenger in a motor vehicle collision.
,C. Patient was crawling on a deck and fell off approximately 4 feet.
D. Patient was riding a tricycle and fell off - Accurate Answers✔✔✔ D.
The patient does not have the development and coordination to ride a
tricycle. A 9-month-old can roll over and it is possible to fall and
fracture their arm. Even though the patient was unrestrained, it may not
involve NAT. A 9-month-old is often crawling and, if the patient was not
being watched, could have fallen off a deck and again not be considered
NAT.
Which developmental task is expected in a toddler?
A. industry
B. trust
C. initiative
D. autonomy - Accurate Answers✔✔✔ D. Toddlers learn to exercise
will and do things for themselves. Developmental task of toddlerhood is
acquiring a sense of autonomy. Several characteristics, especially
negativism and ritualism, are typical of toddlers.
Following a motor vehicle collision, a patient is diagnosed with a C7
fracture and anterior spinal cord syndrome. The nurse understands this
patient will:
A. will be able to ambulate with assistance
B. be wheelchair dependent
C. will regain most function at some point
D. be ventilator dependent - Accurate Answers✔✔✔ B. The patient will
be a paraplegic and may be able to complete movement with their arms.
He will not be ventilator dependent or be able to ambulate
, independently. He will be evaluated independently but will be unable to
walk
Which of the following is the BEST method to assess adequacy of
ventilation during procedural sedation?
A. breath sounds
B. oxygen saturation
C. respiratory rate
D. capnography value - Accurate Answers✔✔✔ D. capnography is used
to determine adequacy of ventilation. Oxygen saturation provides the
percentage of hemoglobin carrying oxygen. Hypoventilation is detected
more rapidly by capnography than by auscultation of breath sounds,
oxygen saturation or respiratory rate.
A 2-year-old presents to the emergency department with tonic-clonic
movements which the caregivers report occurring for one minute prior to
arrival. The priority intervention is
A. preparing for intubation.
B. administering oxygen via a nonrebreathing mask.
C. turning patient to the side.
D. placing an intraosseous needle. - Accurate Answers✔✔✔ C. Turning
the patient to a side is part of the initial assessment to reduce the risk of
aspiration and tongue obstruction. There is no indication for an
intraosseous needle as most antiseizure medications can be given via
other routes. Currently, there is no indication for intubation. Oxygen will
not assist if the airway is not patent.
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